Individual
MRS. KELLY DEMSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
52926 RED FOX TRL, SOUTH BEND, IN 46628-9247
(574) 855-3153
Mailing address
52926 RED FOX TRL, SOUTH BEND, IN 46628-9247
(574) 855-3153
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000734A
IN
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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